Supplies, drugs & other prices at CommonSpirit Saint Joseph Medical Center - East Lexington
Lexington, KY · every code in this section with a posted price and a Medicare benchmark.
75 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,138.35 | $2,834 | 1.5× |
| 2d tte w or w/o fol w/con,co (C8923) | $488.04 | $1,215 | 0.6× |
| 2d tte w or w/o fol w/con,fu (C8924) | $382 | $951 | 1.1× |
| Adm tocilizu covid-19 1st (M0249) | $574.80 | $1,431 | 1.3× |
| Adm tocilizu covid-19 2nd (M0250) | $470.37 | $1,171 | 1.1× |
| Admin influenza virus vac (G0008) | $34.15 | $85 | 0.7× |
| Catheterize for urine spec (P9612) | $3.62 | $9 | 0.4× |
| Covid-19 lab test non-cdc (U0002) | $54.63 | $136 | 1.1× |
| Diab manage trn per indiv (G0108) | $53.83 | $134 | 1.0× |
| Diab manage trn ind/group (G0109) | $31.74 | $79 | 2.0× |
| Direct refer hospital observ (G0379) | $241.81 | $602 | 0.4× |
| Drug test def 1-7 classes (G0480) | $104.44 | $260 | 0.9× |
| Drug test def 8-14 classes (G0481) | $104.04 | $259 | 0.7× |
| Elec stim other than wound (G0283) | $122.52 | $305 | 9.7× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) unusually low: confirm this is the full procedure |
$17,113.76 | $42,606 | 0.4× |
| Hbot, full body chamber, 30m (G0277) | $343.44 | $855 | 2.6× |
| Inj for sacroiliac jt anesth (G0260) | $570.38 | $1,420 | 0.8× |
| Instlj fecal microbiota ssp (0780T) | $120.11 | $299 | 0.9× |
| Mra w/cont, abd (C8900) | $716.99 | $1,785 | 2.1× |
| Mra w/cont, chest (C8909) | $514.15 | $1,280 | 1.5× |
| Mra w/cont, lwr ext (C8912) | $484.02 | $1,205 | 1.4× |
| Mra w/cont, pelvis (C8918) | $539.86 | $1,344 | 1.6× |
| Mra w/o cont, abd (C8901) | $716.99 | $1,785 | 3.1× |
| Mra w/o cont, chest (C8910) | $514.15 | $1,280 | 2.2× |
| Mra w/o cont, lwr ext (C8913) | $484.02 | $1,205 | 2.1× |
| Mra w/o cont, pelvis (C8919) | $539.86 | $1,344 | 2.3× |
| Mra w/o fol w/cont, abd (C8902) | $716.99 | $1,785 | 2.1× |
| Mra w/o fol w/cont, chest (C8911) | $514.15 | $1,280 | 1.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $484.02 | $1,205 | 1.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $539.86 | $1,344 | 1.6× |
| Mra, w/dye, spinal canal (C8931) | $514.15 | $1,280 | 1.5× |
| Mra, w/dye, upper extremity (C8934) | $648.31 | $1,614 | 1.9× |
| Mra, w/o dye, spinal canal (C8932) | $514.15 | $1,280 | 2.2× |
| Mra, w/o dye, upper extr (C8935) | $648.31 | $1,614 | 2.8× |
| Mra, w/o&w/dye, spinal canal (C8933) | $514.15 | $1,280 | 1.5× |
| Mra, w/o&w/dye, upper extr (C8936) | $648.31 | $1,614 | 1.9× |
| Mri w/cont, breast, bi (C8906) | $733.86 | $1,827 | 2.2× |
| Mri w/cont, breast, uni (C8903) | $535.84 | $1,334 | 3.1× |
| Mri w/o fol w/cont, breast, (C8908) | $377.98 | $941 | 1.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $587.25 | $1,462 | 1.7× |
| Oth resp proc, indiv (G0238) | $33.34 | $83 | 1.2× |
| Pathogen test for platelets (P9100) | $52.62 | $131 | 0.9× |
| Perc d-e cor revasc chro sin (C9607) likely a partial charge, not the full procedure |
$5,220.97 | $12,998 | 0.3× |
| Perc d-e cor revasc t cabg s (C9604) | $5,650.36 | $14,067 | 0.5× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$6,079.35 | $15,135 | 0.3× |
| Perc drug-el cor stent sing (C9600) | $7,152.22 | $17,806 | 0.6× |
| Pin service 60m per month (G0023) | $78.73 | $196 | 0.8× |
| Psa screening (G0103) | $70.30 | $175 | 3.6× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) | $1,797.10 | $4,474 | 0.9× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) | $1,799.11 | $4,479 | 0.9× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) | $3,874.16 | $9,645 | 1.1× |
| Revasc intra lithotrip-ather (C9766) | $17,249.52 | $42,944 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $17,249.52 | $42,944 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $10,694.59 | $26,625 | 0.9× |
| Revasc lith-sten-ath tib/per (C9775) | $17,939.60 | $44,662 | 1.0× |
| Revasc lithotr-ather tib/per (C9774) | $17,939.60 | $44,662 | 1.0× |
| Revasc lithotr-stent tib/per (C9773) | $17,939.60 | $44,662 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $11,086.23 | $27,600 | 1.0× |
| Revasc lithotrip-stent-ather (C9767) | $17,249.52 | $42,944 | 1.0× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $19,222.55 | $47,856 | 1.0× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $19,222.55 | $47,856 | 1.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $19,222.55 | $47,856 | 1.0× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $3,144.31 | $7,828 | 1.0× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $3,144.31 | $7,828 | 1.0× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) | $3,144.31 | $7,828 | 1.0× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $19,222.55 | $47,856 | 1.0× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $19,222.55 | $47,856 | 1.0× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $19,222.55 | $47,856 | 1.0× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $5,034.60 | $12,534 | 0.9× |
| Therapeutic procd strg endur (G0237) | $93.19 | $232 | 3.3× |
| Tomosynthesis, mammo (G0279) | $32.54 | $81 | 2.6× |
| Tte w or w/o contr, cont ecg (C8930) | $994.95 | $2,477 | 1.3× |
| Tte w or w/o fol w/con,stres (C8928) | $1,401.05 | $3,488 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $1,877.03 | $4,673 | 2.5× |
| Unsched dialysis esrd pt hos (G0257) | $412.12 | $1,026 | 0.6× |